Two patients experienced unplanned infusion of suprachoroidal 5,000-centistoke silicone oil during vitrectomy surgery. In one patient the oil was surgically removed using an internal incision in the pars plana choroid after external aspiration failed. The oil was expressed from the suprachoroidal space through this opening into the vitreous cavity. Perfluorocarbon liquid was injected over the posterior pole to displace residual suprachoroidal oil into the vitreous cavity, and the oil was then removed via the existing sclerotomy. In the second patient, the oil was observed, and the patient had a stable visual and anatomic outcome at 1-year follow-up.
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